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      Importancia de un modelo de nefroprevención adaptado para Colombia Translated title: Importance of a nefroprevention model adapted to Colombia

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          Abstract

          Resumen La enfermedad renal crónica es una afección que, dados sus altos niveles de incidencia y prevalencia, constituye un importante problema de salud pública a nivel mundial. Esta entidad se encuentra dentro de las principales causas de muerte tanto en Colombia como en el mundo y representa una gran carga social y económica, similar a la de otras enfermedades crónicas no trasmisibles como la hipertensión arterial y la diabetes mellitus. Actualmente, los gobiernos han realizado esfuerzos para moderar sus estadísticas; sin embargo, estos no han sido lo suficientemente sólidos para mantener bajo control el efecto que ejercen dichas patologías en la salud de las personas, por lo cual se hace imprescindible fortalecer las acciones que fomenten su prevención y control. En el presente artículo se realiza una revisión narrativa de la literatura, partiendo de la información disponible en las diferentes bases de datos, con el objetivo de resaltar la importancia de implementar un modelo de nefroprevención adaptado para Colombia que permita prevenir y detectar oportunamente los factores de riesgo cardiovasculares y renales, y que además facilite el diagnóstico precoz de la enfermedad renal crónica en aras de disminuir su progresión y sus consecuencias potencialmente letales.

          Translated abstract

          Abstract Chronic kidney disease is a condition that, given its high levels of incidence and prevalence, constitutes a major public health problem worldwide. This entity is among the leading causes of death both in Colombia and in the world, and represents a great social an economic burden, similar to that of other chronic non-communicable diseases such as arterial hypertension and diabetes mellitus. Currently, governments have made efforts to moderate their statistics; however, these have not been solid enough to keep under control the effect that these pathologies have on the health of the individuals, for which it is indispensable to strengthen actions that promote their prevention and control. In the present article, a narrative literature review is carried out, based on the information available in the different databases, with the purpose of highlighting the importance of implementing a nephroprevention model adapted for Colombia that allows to timely prevent and detect the cardiovascular and renal risk factors, and also facilitate the early diagnosis of chronic kidney disease in order to slow its progression and its potentially lethal consequences.

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          Most cited references65

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          K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.

          (2002)
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            2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

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              Summary of KDIGO 2012 CKD Guideline: behind the scenes, need for guidance, and a framework for moving forward.

              The 2012 KDIGO Guideline for CKD evaluation, classification, and management has updated the original 2002 KDOQI Guidelines, using newer data and addressing issues raised over the last decade concerning definitions and assessment. This review highlights the key aspects of the CKD guideline, and describes the rationale for specific wording and the scope of the document. A précis of key concepts in each of the five sections of the guideline is presented. The guideline document is intended for general practitioners and nephrologists, and covers CKD evaluation, classification, and management for both adults and children. Throughout the guideline, we have attempted to overtly address areas of controversy or non-consensus, international relevance, and impact on practice and public policy.
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                Author and article information

                Journal
                rcnef
                Revista Colombiana de Nefrología
                Rev. colom. nefrol.
                Asociación Colombiana de Nefrología e Hipertensión Arterial (Bogotá, Distrito Capital, Colombia )
                2500-5006
                December 2021
                : 8
                : 3
                : e302
                Affiliations
                [1] Floridablanca Santander orgnameClínica Foscal Internacional orgdiv1Servicio de Medicina Intensiva y Cuidado Crítico Colombia
                [2] Cartagena de Indias orgnameUniversidad del Sinú orgdiv1Escuela de Medicina orgdiv2Grupo de Investigación GIBACUS Colombia
                [3] Bucaramanga Santander orgnameUniversidad Autónoma de Bucaramanga orgdiv1Facultad de ciencias de la Salud orgdiv2Programa de Medicina Colombia
                [4] São Paulo orgnameUniversidade Federal do ABC Brazil
                Author information
                https://orcid.org/0000-0001-5098-6574
                https://orcid.org/0000-0002-9064-1068
                https://orcid.org/0000-0002-2916-8232
                https://orcid.org/0000-0002-0987-6741
                https://orcid.org/0000-0001-7467-0275
                https://orcid.org/0000-0002-3604-3702
                Article
                S2500-50062021000300302 S2500-5006(21)00800300302
                10.22265/acnef.8.3.399
                51091340-14bd-4a53-96e5-73e4cbe961d2

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 19 March 2021
                : 21 May 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 66, Pages: 0
                Product

                SciELO Colombia

                Categories
                Artículo de revisión

                diabetes mellitus,Colombia,Latin America.,insuficiencia renal crónica,factores de riesgo,hipertensión,epidemiología,América Latina,chronic renal failure,risk factors,hypertension,epidemiology

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